17hebrew

The Hebrew version of the Childhood Health Assessment Questionnaire (CHAQ) and the Child Health Questionnaire (CHQ)

P. Hashkes¹, Y. Uziel2, J. Press³, R. Brik⁴, P. Navon-Elkan⁵, M. Mukamel⁶, E. Libman⁷, T. Tauber⁸, N. Ruperto⁹, J. Barash¹⁰, for the Paediatric Rheumatology International Trials Organisation (PRINTO)

¹Sieff Hospital, Safed and Poriya Hospital, Tiberias; ²Meir Medical Center, Kfar Saba; ³Soroka Medical Center, Beer - Sheva; ⁴Rambam Medical Center, Haifa; ⁵Sharei - Tzedek Medical Center, Jerusalem; ⁶Schneider Children's Hospital, Petah-Tikva; ⁷Hadassah - Hebrew University Medical School, Jerusalem; ⁸Asaf Harofe Medical Center, Zirifim, Israel; ⁹Laboratorio di Informatica Medica, IRCCS S. Matteo, Pavia, Italy; ¹⁰Kaplan Medical Centre, Rehovot, Israel.

ABSTRACT
We report herein the results of the cross-cultural adaptation and validation into the Hebrew language of the parent's version of two health related quality of life instruments. The Childhood Health Assessment Questionnaire (CHAQ) is a disease specific health instrument that measures functional ability in daily living activities in children with juvenile idiopathic arthritis (JIA). The Child Health Questionnaire (CHQ) is a generic health instrument designed to capture the physical and psychosocial well-being of children independently from the underlying disease. The Hebrew CHAQ-CHQ were fully developed with 3 forward and 3 backward translations. A total of 144 subjects were enrolled: 80 patients with JIA (12% systemic onset, 34% polyarticular onset, 23% extended oligoarticular subtype, and 31% persistent oligoarticular subtype) and 64 healthy children. The CHAQ clinically discriminated between healthy subjects and JIA patients, with the systemic, polyarticular and extended oligoarticular subtypes having a higher degree of disability, pain, and a lower overall well-being when compared to their healthy peers. Also the CHQ clinically discriminated between healthy subjects and JIA patients, with the JIA patients having a lower physical and psychosocial well-being when compared to their healthy peers.
In conclusion the Hebrew version of the CHAQ-CHQ is a reliable, and valid tool for the functional, physical and psychosocial assessment of children with JIA.

Key words
Hebrew Childhood Health Assessment Questionnaire (CHAQ), Hebrew Child Health Questionnaire (CHQ), cross cultural adaptation and psychometric evaluation, health related quality of life, juvenile idiopathic arthritis (JIA), healthy children.

Supported by a grant from the European Union (BMH4-983531 CA), and by IRCCS Policlinico S. Matteo (Pavia, Italy).

Please address correspondence and requests for reprints to either: Philip Hashkes, MD, Sieff Hospital, Department of Pediatrics, PO Box 1008, 13100 Safed, Israel.
E-mail: philh@kinneret.co.il
or PRINTO, IRCCS Policlinico S. Matteo, Pediatria Generale e Reumatologia, Piazzale Golgi, 2, 27100 Pavia, Italy.
E-mail: nruperto@smatteo.pv.it
WWW: http://www.medit.it/printo/